Neurological Surgery reimbursement rates by service line
Compare payer-published neurological surgery benchmarks for spine surgery; decompression; cranial surgery; office visits.
Compare national neurological surgery rates by payer
Use the reference codes to compare payer benchmarks, then explore spine surgery; decompression; cranial surgery; office visits. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 22551
National 22551 rate distribution
Each marker shows the national median published rate across billing entities for that payer.
National 22551 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 8,764 | $2,381.11 | $2,708.19 | |||
| Cigna | Jun–Jul 2026 | 9,604 | $3,140.40 | $3,713.34 | |||
| United | Jun–Jul 2026 | 10,317 | $3,301.66 | $3,690.33 | |||
| Anthem | Jun–Jul 2026 | 9,345 | $3,627.27 | $4,199.73 |
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for cervical spinal fusion with disc removal and decompression (22551).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific neurological surgery providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Neurological Surgery provider benchmarks (CPT 22551)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| NEUROSURGICAL ASSOCIATESNPI 1033190954 · Tax ID 621154023 | TN | 65 | $1,473.21 | -$907.90 | Below P25 |
| ASTERIOS TSIMPAS MD MSC MBA INCNPI 1093919946 · Tax ID 861337121 | CA | 3 | $1,637.51 | -$743.61 | Below P25 |
| ORTHOPAEDIC SPECIALISTS OF NORTHWEST INDIANA PCNPI 1851616742 · Tax ID 352010087 | IN | 39 | $1,838.45 | -$542.67 | Below P25 |
| MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PANPI 1013114735 · Tax ID 570710106 | SC | 83 | $2,158.35 | -$222.76 | P25 to median |
| VALLEY NEUROSURGERY INCNPI 1013951185 · Tax ID 202596785 | AL | 2 | Median to P75 | ||
| COLUMBIADOCTORS OF CONNECTICUT PCNPI 1588608186 · Tax ID 824894259 | NY | 16 | Above P75 |
Choose one state to replace the mixed-state examples with payer-specific provider rates across all three preview codes.
No trial or data preparation required.Explore neurological surgery services
Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 7 codes | ||||
99215Established patient office visit, level 5 | $187.22 | $266.27 | $274.60 | $285.68 |
99205New patient office visit, level 5 | $249.66 | $344.97 | $379.98 | $395.93 |
99203New patient office visit, level 3 | $123.73 | $170.30 | $196.40 | $202.12 |
99291Critical care, first 30 to 74 minutes | $342.49 | $444.65 | $505.99 | $553.04 |
99214Established patient office visit, level 4 | $132.82 | $187.62 | $199.20 | $205.33 |
99204New patient office visit, level 4 | $192.40 | $264.50 | $298.18 | $308.15 |
99213Established patient office visit, level 3 | $90.79 | $127.98 | $137.47 | $142.97 |
$ per reported billing unit · 13 codes | ||||
22840Insert Spine Fixation Device | $1,214.59 | $1,616.66 | $1,624.80 | $1,869.62 |
22853Insj Biomechanical Device | $405.45 | $544.94 | $556.60 | $662.31 |
22600Surgery To Fuse Bones In Spine | $2,109.72 | $2,735.16 | $2,749.39 | $3,150.81 |
22558Surgery To Fuse Bones In Spine | $2,481.45 | $3,222.07 | $3,266.23 | $3,739.77 |
61312Rnec/Crnot Sttl Xdrl/Sdrl | $3,412.82 | $4,375.16 | $4,481.58 | $5,006.42 |
22551Cervical spinal fusion with disc removal and decompression | $2,708.19 | $3,713.34 | $3,690.33 | $4,199.73 |
63047Lumbar laminectomy with facetectomy and foraminotomy | $1,793.94 | $2,419.80 | $2,413.13 | $2,835.21 |
22633Combined posterior and interbody lumbar spinal fusion | $2,930.60 | $3,964.67 | $3,984.43 | $4,486.72 |
22612Posterior or posterolateral lumbar spinal fusion | $2,563.62 | $3,354.57 | $3,388.29 | $3,860.23 |
22842Insert Spine Fixation Device | $1,239.02 | $1,634.34 | $1,632.72 | $1,985.86 |
63030Laminotomy (Hemilaminectomy) | $1,554.87 | $2,038.75 | $2,091.65 | $2,440.29 |
22845Insert Spine Fixation Device | $1,164.69 | $1,544.93 | $1,558.42 | $1,831.63 |
61510Craniotomy for removal of brain tumor | $3,651.02 | $4,690.81 | $4,750.98 | $5,385.42 |
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Book a 20-min scoping call No trial or data preparation required.How to interpret these benchmarks
Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
- Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
- Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
- CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
- CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
- Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.
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Explore neurological surgery rates by state
Choose a state to compare payer reference averages for common services.
Questions about neurological surgery benchmarks
How to interpret the selected market and payer-published rates.
What does the national benchmark compare?
The headline uses Cervical spinal fusion with disc removal and decompression (22551). The other reference codes and service lines provide separate comparisons rather than combining unlike services.
Why is a payer or state missing?
A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.
Will the reporting period change?
Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.